Hospital Costs > In Nevada > Northern Nevada Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 94 | 470 / 11 | $89.372,10 | 2351 / 11 | $14.085,10 | 1005 / 3 | $11.058,30 | 985 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 72 | 444 / 12 | $57.913,40 | 2027 / 7 | $11.456,60 | 1074 / 1 | $10.287,70 | 1061 / 2 |
| Pulmonary Edema & Respiratory Failure | 64 | 139 / 6 | $36.875,10 | 1379 / 3 | $7.563,16 | 684 / 1 | $6.574,56 | 684 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 32 | 175 / 7 | $40.873,70 | 2057 / 9 | $6.520,84 | 781 / 1 | $5.461,84 | 779 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 12 | $47.554,00 | 1834 / 8 | $8.861,62 | 946 / 1 | $7.822,17 | 946 / 3 |
| Renal Failure W Mcc | 24 | 171 / 13 | $54.791,40 | 1671 / 4 | $8.852,29 | 360 / 1 | $7.844,54 | 360 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 21 | 175 / 11 | $84.191,60 | 944 / 5 | $12.745,40 | 797 / 1 | $11.654,40 | 792 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 14 | $57.602,10 | 1354 / 5 | $6.659,40 | 520 / 1 | $5.486,15 | 518 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 18 | $27.362,30 | 2089 / 7 | $4.676,00 | 632 / 1 | $3.711,20 | 630 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 17 | $31.794,20 | 2240 / 9 | $4.640,20 | 864 / 1 | $3.670,60 | 859 / 4 |
| Spinal Fusion Except Cervical W/O Mcc | 19 | 175 / 13 | $164.182,00 | 1171 / 9 | $24.889,30 | 766 / 2 | $23.808,00 | 762 / 9 |
| Cellulitis W/O Mcc | 16 | 173 / 18 | $29.278,50 | 2096 / 7 | $5.160,12 | 880 / 1 | $4.182,12 | 874 / 3 |
| Renal Failure W Cc | 16 | 205 / 15 | $35.257,20 | 1907 / 6 | $6.055,50 | 703 / 1 | $4.919,50 | 696 / 2 |
| Heart Failure & Shock W Mcc | 16 | 268 / 15 | $49.787,80 | 1984 / 5 | $9.209,38 | 899 / 2 | $8.155,38 | 898 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 8 | $61.053,20 | 1340 / 5 | $10.355,20 | 784 / 1 | $9.677,19 | 783 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 13 | $68.166,50 | 1509 / 5 | $12.270,70 | 453 / 4 | $9.991,73 | 452 / 1 |
| G.I. Hemorrhage W Cc | 14 | 204 / 17 | $42.840,50 | 2024 / 8 | $6.158,07 | 458 / 1 | $4.868,79 | 457 / 3 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 16 | $71.656,90 | 1170 / 4 | $13.557,40 | 286 / 1 | $11.848,60 | 283 / 1 |
| Heart Failure & Shock W Cc | 14 | 264 / 20 | $28.818,00 | 1894 / 7 | $5.732,07 | 681 / 1 | $5.048,64 | 680 / 3 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 8 | $84.321,40 | 1049 / 4 | $15.969,90 | 863 / 2 | $15.044,40 | 855 / 5 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 7 | $25.105,90 | 1004 / 4 | $3.894,77 | 346 / 2 | $2.758,77 | 346 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 15 | $34.124,10 | 1780 / 7 | $4.927,00 | 1065 / 1 | $4.368,23 | 1061 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 13 | $47.174,00 | 1444 / 5 | $6.909,33 | 442 / 2 | $5.950,67 | 439 / 3 |
| G.I. Obstruction W Cc | 12 | 80 / 9 | $37.972,80 | 1416 / 6 | $5.550,00 | 661 / 2 | $4.648,67 | 660 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 17 | $34.202,40 | 1699 / 4 | $6.927,92 | 740 / 2 | $6.001,25 | 735 / 2 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 8 | $53.563,00 | 1144 / 4 | $10.042,30 | 50 / 1 | $9.085,00 | 50 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 18 | $28.335,50 | 2064 / 7 | $4.422,09 | 745 / 2 | $3.483,27 | 743 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 15 | $47.154,20 | 1680 / 7 | $6.663,82 | 967 / 2 | $5.785,27 | 964 / 5 | Total 28 procedures | 645 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.